Provider Demographics
NPI:1285681551
Name:ALTON, MICHAEL DAVID II
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:ALTON
Suffix:II
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:ALTON
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1141 YELLOW IRIS RD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2229
Mailing Address - Country:US
Mailing Address - Phone:512-585-0026
Mailing Address - Fax:512-917-8008
Practice Address - Street 1:1141 YELLOW IRIS RD
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2229
Practice Address - Country:US
Practice Address - Phone:512-585-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124655733OtherCHIROPRACTIC